ANDREW T LACEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194325

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

LACEK

Prefix

Business Name

ANDREW T LACEK

Original Issue Date

09/18/2009

Effective Date

09/18/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

65807

Ever Disciplined

LastModifiedDate

05/04/2010